Provider Demographics
NPI:1619244050
Name:DAVID BROOKS MD PLLC
Entity Type:Organization
Organization Name:DAVID BROOKS MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-231-9300
Mailing Address - Street 1:154 N FESTIVAL DR
Mailing Address - Street 2:VILLA B
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-6266
Mailing Address - Country:US
Mailing Address - Phone:915-231-9300
Mailing Address - Fax:915-231-9302
Practice Address - Street 1:154 N FESTIVAL DR
Practice Address - Street 2:VILLA B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6266
Practice Address - Country:US
Practice Address - Phone:915-231-9300
Practice Address - Fax:915-231-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP09602084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty